Active NPI
Ellen Francine Fields
- Professional Counselor
- Henderson, NV
National Provider Identifier
1851924567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17931
- Practice address
- 2169 Eagle Sticks Dr
Henderson, NV 89012-2538 - Phone
- (888) 222-0720
- NPI assigned
- Feb 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17931 | TX | Primary |
Addresses
Primary practice location
2169 Eagle Sticks Dr
Henderson, NV 89012-2538
Mailing address
2169 Eagle Sticks Dr
Henderson, NV 89012-2538
Phone (888) 222-0720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17931 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1851924567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2169 EAGLE STICKS DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890122538",
"telephone_number": "888-222-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2169 EAGLE STICKS DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890122538",
"telephone_number": "888-222-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "ELLEN",
"middle_name": "FRANCINE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.